Lake, Mary T
Lake, Mary T is an sole proprietor health care provider with primary practice located at 15700 Terrace Dr # P102 , Oak Forest IL 60452-2959. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lake, Mary T can be contacted via phone (708) 717-4924.Contact Information
Primary practice address
15700 Terrace Dr # P102
Oak Forest IL 60452-2959
Phone: (708) 717-4924
Fax: (815) 464-8431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Illinois |
Profile Details
| NPI number | 1821203100 |
|---|---|
| LBN Legal business name | Lake, Mary T |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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